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General NPI Number Information
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NPI Number | 1538955380
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Entity Type | Organization
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Legal Business Name | GOPODIATRY LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1112 NE 117TH ST
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City | BISCAYNE PARK
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State | FL
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Zip | 33161-6752
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Country | US
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Telephone | 561-302-0856
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Fax |
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Provider Business Mailing Address
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Address Line | 3771 SW 26TH TER
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City | MIAMI
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State | FL
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Zip | 33134-7234
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Country | US
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Telephone | 305-336-7769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YADIEL AGUIAR DE ARMAS
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Credential |
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Telephone | 305-336-7769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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